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Abc Pediatrics Llc
Medical Specialty Clinic/Center in Gillette, Wyoming
NPI 1841452000

Abc Pediatrics Llc is a Medical Specialty Clinic/Center based in Gillette, WY and is specialized in Medical Specialty. Abc Pediatrics Llc practices in Gillette, WY. The NPI Number for Abc Pediatrics Llc is 1841452000 and holds a License No. 5966A (Wyoming).

The current practice location address for Abc Pediatrics Llc is 1300 W 4Th St, Gillette, WY and can be reached out via phone at 307-686-4900 and via fax at 307-682-3466.

Location: 1300 W 4Th St, Gillette, WY, 82716-3339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841452000
Provider Name
Abc Pediatrics Llc
Credential
Provider Entity Type
Organization
Address
1300 W 4Th St, Gillette, WY, 82716-3339
Phone Number
307-686-4900
Fax Number
307-682-3466
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
121687200 05 WY
institution
Provider Business Practice Location Address Details
Address
1300 W 4Th St
City
Gillette
State
Wyoming
Zip
82716-3339
Phone Number
307-686-4900
Fax Number
307-682-3466
person
Provider Business Mailing Address Details
Address
1300 W 4Th St
City
Gillette
State
Wyoming
Zip
82716-3339
Phone Number
307-686-4900
Fax Number
307-682-3466
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
5966A (Wyoming)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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